NPIMap

Organization Active NPI

Nebraska Medical Center

Doing business as Clarkson Family Medicine - Nebraska Medicine

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1891721395
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEBRASKA MEDICAL CENTER
Doing business as
Clarkson Family Medicine - Nebraska Medicine
Practice address
4200 Douglas St
Omaha, NE 68131-2705
Phone
(402) 552-3222
Fax
(402) 552-2172
NPI assigned
Jun 25, 2006
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Stephanie Daubert
Title
Cfo
Phone
(402) 552-2889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4200 Douglas St
Omaha, NE 68131-2705

Mailing address

4200 Douglas St
Omaha, NE 68131-2705
Phone (402) 552-3222

Other names 1

  • Clarkson Family Medicine - Nebraska Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

4200 Douglas St
Omaha, NE 68131
Phone (402) 552-3222

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1891721395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 DOUGLAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312705",
            "telephone_number": "402-552-3222",
            "fax_number": "402-552-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 DOUGLAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312705",
            "telephone_number": "402-552-3222",
            "fax_number": "402-552-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "DAUBERT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-552-2889",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarkson Family Medicine - Nebraska Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clarkson Family Medicine - Nebraska Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.